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Patient Observation

OBSERVATION
Of Resident
By Faculty Member
On Date


Context:
Describe how many patients you saw, who each one was, etc.
OPENING
Yes
No
Not Observed
Communicates with respectful behaviors



Expresses sensitivity to culture and language of patient



Elicits information on goals for patient visit



Elicitsinformation of patient’s experienceand understanding of problem(s)



INTEGRATIVE HISTORY TAKING
Yes
No
Not Observed
Inquires about patient’s use of dietary supplements and botanicals



Inqures into patient’s emotional life, stresses and relationships



Inquires into patient’s lifestyle, food, work and play habits



Inquires into patient’s spiritual beliefs



Inquires into health and safety of environment in which patient lives



Inquires about patient’s experience with and use of complementary therapies, including indigenous healing traditions and folk remedies



PHYSICAL EXAM
Yes
No
Not Observed
Acts respectfully during physical exam



DIAGNOSIS AND INTEGRATIVE MEDICINE TREATMENT PLANNING
Yes
No
Not Observed
Shares recommendations about conventional and complementary treatment options with patient



Negotiates mutually agreed upon, integrative treatment plan and follow up with patient



Closes patient encounter therapeutically, providing prescriptions and/or referrals to consultants including complementary providers when appropriate



COUNSELING AND INTEGRATIVE MEDICINE PATIENT EDUCATION